@misc{VolkertBeckCederholmetal.2019,
  author    = {Volkert, Dorothee and Beck, Anne Marie and Cederholm, Tommy and Cereda, Emanuele and Cruz-Jentoft, Alfonso J. and Goisser, Sabine and de Groot, Lisette and Grosshauser, Franz and Kiesswetter, Eva and Norman, Kristina and Pourhassan, Maryam and Reinders, Ilse and Roberts, Helen C. and Rolland, Yves and Schneider, St{\´e}phane M. and Sieber, Cornel and Thiem, Ulrich and Visser, Marjolein and Wijnhoven, Hanneke and Wirth, Rainer},
  title     = {Management of malnutrition in older patients},
  series = {Journal of Clinical Medicine : open access journal},
  volume    = {8},
  journal   = {Journal of Clinical Medicine : open access journal},
  number    = {7},
  publisher = {MDPI},
  address   = {Basel},
  issn      = {2077-0383},
  doi       = {10.3390/jcm8070974},
  pages     = {16},
  year      = {2019},
  abstract  = {Malnutrition is widespread in older people and represents a major geriatric syndrome with multifactorial etiology and severe consequences for health outcomes and quality of life. The aim of the present paper is to describe current approaches and evidence regarding malnutrition treatment and to highlight relevant knowledge gaps that need to be addressed. Recently published guidelines of the European Society for Clinical Nutrition and Metabolism (ESPEN) provide a summary of the available evidence and highlight the wide range of different measures that can be taken—from the identification and elimination of potential causes to enteral and parenteral nutrition—depending on the patient's abilities and needs. However, more than half of the recommendations therein are based on expert consensus because of a lack of evidence, and only three are concern patient-centred outcomes. Future research should further clarify the etiology of malnutrition and identify the most relevant causes in order to prevent malnutrition. Based on limited and partly conflicting evidence and the limitations of existing studies, it remains unclear which interventions are most effective in which patient groups, and if specific situations, diseases or etiologies of malnutrition require specific approaches. Patient-relevant outcomes such as functionality and quality of life need more attention, and research methodology should be harmonised to allow for the comparability of studies.},
  language  = {en}
}
@article{VolkertKiesswetterCederholmetal.2019,
  author    = {Volkert, Dorothee and Kiesswetter, Eva and Cederholm, Tommy and Donini, Lorenzo M. and Egiseer, Doris and Norman, Kristina and Schneider, Stephane M. and Stroebele-Benschop, Nanette and Torbahn, Gabriel and Wirth, Rainer and Visser, Marjolein},
  title     = {Development of a Model on Determinants of Malnutrition in Aged Persons},
  series = {Gerontology and Geriatric Medicine},
  volume    = {5},
  journal   = {Gerontology and Geriatric Medicine},
  publisher = {Sage Publ.},
  address   = {Thousand Oaks},
  issn      = {2333-7214},
  doi       = {10.1177/2333721419858438},
  pages     = {8},
  year      = {2019},
  abstract  = {In older persons, the origin of malnutrition is often multifactorial with a multitude of factors involved. Presently, a common understanding about potential causes and their mode of action is lacking, and a consensus on the theoretical framework on the etiology of malnutrition does not exist. Within the European Knowledge Hub "Malnutrition in the Elderly (MaNuEL)," a model of "Determinants of Malnutrition in Aged Persons" (DoMAP) was developed in a multistage consensus process with live meetings and written feedback (modified Delphi process) by a multiprofessional group of 33 experts in geriatric nutrition. DoMAP consists of three triangle-shaped levels with malnutrition in the center, surrounded by the three principal conditions through which malnutrition develops in the innermost level: low intake, high requirements, and impaired nutrient bioavailability. The middle level consists of factors directly causing one of these conditions, and the outermost level contains factors indirectly causing one of the three conditions through the direct factors. The DoMAP model may contribute to a common understanding about the multitude of factors involved in the etiology of malnutrition, and about potential causative mechanisms. It may serve as basis for future research and may also be helpful in clinical routine to identify persons at increased risk of malnutrition.},
  language  = {en}
}